Physical Activity
Conditions
Keywords
rural populations, physical activity promotion
Brief summary
The investigators will randomize 20 rural libraries to implement either a group-based walking (standard approach) or a group-based walking combined with a civic engagement program (combined approach). Each rural library will enroll between 15-20 participants. The investigators will compare the change in physical activity between participants in each group.
Detailed description
The goals of this study are: 1. Increase the capacity of rural libraries to deliver evidence-based health promotion programs 2. Compare the effects of a group-based walking program with a combined group-based plus civic engagement program on physical activity, cardiovascular fitness and collective efficacy among rural residents. 3. Evaluate program implementation
Interventions
OTHERWalking only (Step It Up!)
Participants will meet weekly for 60 minutes and walk together as a group. Participants will progressively build up to walking for 45 minutes at a brisk pace. Walks will start with a check-in and end with stretching as a group.
OTHERCombined (Step It Up! plus Civic Engagement)
Participants in the combined groups will meet weekly for 90 minutes with group members. They will participate in a group walk for 60 minutes followed by 30 minutes of civic engagement aimed at improving walkability in the community
Sponsors
Texas A&M University
University of North Carolina, Greensboro
Oregon Health and Science University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18 or older * Inactive (defined as engaging in physical activity \<3 days per week) * Ability to walk for at least 20 minutes * Living within the rural community served by the local library * Ability to travel to the local library/location of walking group.
Exclusion criteria
* Participation/intention to participate in other lifestyle modification pro-gram(s) * Cognitive impairment * Inability to communicate due to severe uncorrected hearing loss or speech disorder or severe visual impairment (if precludes completion of assessments and/or intervention)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | Change from baseline physical activity at 6 months, 12 months, and 24 months. | Participants will be asked to wear an accelerometer for \>10 hours/day for seven days at the wrist to measure physical activity. An accelerometer is a small device worn at the wrist that records acceleration, the change in velocity of a participant over time. |
| Cardio respiratory fitness | Change from baseline cardio respiratory fitness at 6 months, 12 months, and 24 months. | Participants will be asked to complete a six-minute walk test to measure cardiorespiratory fitness. The distance walked in 6 minutes will be recorded. |
| Collective Efficacy | Change from baseline collective efficacy at 6 months, 12 months, and 24 months | Participants will be asked to complete a survey regarding collective-efficacy, the Collective Efficacy Scale (Sampson and colleagues, 1997), which measures how well communities work together to make things happen. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Weight | Change from baseline weight at 6 months, 12 months, and 24 months. | Researchers will measure the weight of participants in pounds. |
| Height | Baseline | Researchers will measure the height of participants in inches. |
| Blood pressure | Change from baseline blood pressure at 6 months, 12 months, and 24 months. | Researchers will measure the both diastolic and systolic blood pressure of participants using a sphygmomanometer. |
| Hip circumference | Change from baseline hip circumference at 6 months, 12 months, and 24 months. | Researchers will measure the hip circumference of participants in inches. |
| Resting heart rate | Change from baseline resting heart rate at 6 months, 12 months, and 24 months. | Researchers will measure resting heart rate of participants by using heart rate monitor. |
Countries
United States
Outcome results
None listed